HomeMy Public PortalAbout5036 FIESTA AVE_Electrical__ DSS-5A I1-SS APPLICATION FOR ELECTRIC PERMIT 1
DBS-SA
DMSION OF BUILDING AND SAFETY
Department of County Engineer BUILDING t 3 �� S�
County Of Los Angeles ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER /�� (/♦1
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY /V
FOR APPLICANT TO FILL IN NEAREST
EAR sT. o S
PERMIT FEES �.
NUMBER OWNER /d/; / 11 j A IV �!V Ill% A L y
LIGHT OUTLETS MAIL ^
RECEPTACLES ADDRESS L /'�—A-,57,4
WALL SWITCHES FEE CITY
CIL TEL.NO. C
TOTAL OUTLETS @ 5¢ $ ELECTRICIAN
ELEC. RANGES 25
ADDRESS
ELEC.HEATERS 25
'KW EA CITY TEL.NO.
STATE
FIXTURES 5 LICENSE NO.
MOTORS DISTRICTUO. I GROUP 1,rE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE oJ`. J,•/.r/+
NEW MVD. HP OVER INC. EACH
Y2&LESS $ .25 INSPECTION RECORD
I/2 2 .50
2 5 1.00
5 1 15 1.50
15 50 .2.50
50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 Q
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ c DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ;I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING iWIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFFFS�
CALIFORNIA OR THAT 1 AM THE LEGAL OWN0 THE AB POWER
DESCRIBED RESIDENT,0 PPROPERTY. J�E
TY CO.NOTIFIED
SIGNATURE I f/ �
OFPERMITTEE ( '
L
JOHN A. BIE. COUNTY ENGINEER VALIDA ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
CK MO CA3
7 3 6 3.--, in 2 5 � 1 .25 '�,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0308270026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAIDBUILDING ADDRESS:
TR: 13329 LT: 58 5036 FIESTA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803818
ASSESSOR INFORMA NUMBER: NEAREST CROSS STREET: LA ROSA
8590-018-024 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A5 LOCALITY: TEMPLE CITY
G1 OUTLETS-LGT,SW,RECP 2.00 OUT 3.90
TENANT: G2 LIGHTING FIXTURES 2.00 LGT 3.90 ISSU ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 35.55 08/27/03 JK 02/23/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
CRAY MER (310) 866-5454-
5036 FIESTA AV "111 "?> v"
TEMP 917803818 DESCR PTION OF WORK .
INSTALL 2 MOTION DETECTION LIGHTS
APPLICANT: TEL. NO:
SAGIE SHANUN -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
GIL'S ELECTRICAL SERVICE (818) 831-8386-
11846 BALBOA BLVD. LIC. NO TEMPORARY POWER POLE
STE. 204 B/L
GRANADA HILLS, CA 91344 UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC Y/N METAL Y/N
UTILITY COMPANY NOTIFIED
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BS0508
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